Individual provider · Type 1 NPI

Jared Cooper, NP

Nurse Practitioner · Macon, GA

NPI number 1124516661 Active

Practice location

777 Hemlock St
Macon, GA 31201-2102

Mailing address

120 Hicksville Rd
Bethpage, NY 11714-3443

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0024186982 (VA)
Acute Care Nurse Practitioner 363LA2100X179606 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124516661

Jared Cooper, NP's National Provider Identifier is 1124516661, issued on Apr 30, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macon, GA. The record was last updated on Oct 8, 2025.